Unknown Individual – Urology Physician, NPI 1962480087

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Urology Physician. They hold a License No. 0101019945 (VA). The NPI Number for Unknown Individual is 1962480087

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962480087
Phone
(757) 873-1374
Address
11848 ROCK LANDING DR
Deactivation Date
30 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 11848, Rock Landing Drive, Oyster Point, Newport News, Newport News City, Virginia, 23606, United States

    SUITE 402

    NEWPORT NEWS, VA 236064425

    Phone: (757) 873-1374

    Fax: (757) 873-1612

    Type: Location

  • 856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States

    SUITE A

    NEWPORT NEWS, VA 236011318

    Phone: (757) 594-4006

    Fax: (757) 534-5190

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23606)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1962480087; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Urology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Newport News, Virginia because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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